Butlak, Mary K.

Butlak, Mary K. is an sole proprietor health care provider with primary practice located at 231 Walton St Ste 200 , Syracuse NY 13202-1887. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Butlak, Mary K. can be contacted via phone (315) 478-0380.

Contact Information

Primary practice address
231 Walton St Ste 200 Syracuse NY 13202-1887
Phone: (315) 478-0380
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 002291-1 New York

Profile Details

NPI number 1659624526
LBN Legal business name Butlak, Mary K.
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2012
Last updated Oct 17th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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